DEVELOPING AN AGE-FRIENDLY ECOSYSTEM: A CASE STUDY FROM MINNESOTA’S MULTISECTOR BLUEPRINT ON AGING

Abstract As age demographics continue to shift, age-friendly policy initiatives at the global, national, state, and local levels are rapidly evolving. These emerging age-friendly initiatives underscore a changing perception of aging and older adulthood. Many states, communities, academic institutions, health systems, and other organizations are embracing the demographic shift and leveraging age-friendly frameworks that seek to improve later life experiences. However, there is limited scholarly work that explores contextualized age-friendly policy development. Using qualitative case study and historiography methods, this study provides an overview of various age-friendly frameworks and outlines work in the State of Minnesota where intersections of the various frameworks are coalescing in an age-friendly ecosystem. Minnesota, rather than being a ‘best practices’ exemplar, serves as a model of an evolving system, led by the Age-friendly Minnesota Council in partnership with organizations such as the Minnesota Board on Aging and the Minnesota Department of Human Services, that are developing impactful policies to address the needs of a growing heterogeneous older adult population. The nuances and realities found within the Minnesota context underscore the need to develop fluid age-friendly ecosystems that can adapt to the uniqueness and complexity found in each state, region, or community. Going forward, it will be critical for Minnesota to evaluate their programs to determine their long term impact on the entire population — including today’s older adults as well as future older Minnesotans.

Understanding community collaboration is crucial to advance age-friendly community change (Greenfield, et al., 2022).This poster's purpose is to provide evidence about age-friendly partner involvement to bring awareness to the extent that partnerships are collaborative and holistic at the age-friendly action plan stage.We conducted a qualitative, thematic analysis by reviewing Age-Friendly Florida Action Plans (N = 13) to code for partner involvement.The evaluation used the World Health Organization's Age-Friendly Environments framework, which includes 4 cyclical steps: Engage and Understand, Plan, Act, and Measure.The evaluation questions were (1) How many partners are typically involved in action plans?and (2) Which types of partners are typically involved in action plans?The Florida Age-Friendly Communities evaluated have diverse characteristics in community type (e.g., rural, urban, and suburban), population size, and the percentage of the population that is 65+.After an iterative process was conducted between coders, a partner coding structure emerged.The partner coding structure included codes for government, businesses, non-profits, communities, and other partners.Partner themes for each sector (government, businesses, non-profit, community, and other partners) were identified and will be discussed.Overall, results concluded that there were an average of 16 partners involved in age-friendly action plans.On average, age-friendly partners were most involved in the Act step of the World Health Organization's Age-Friendly Environments framework.Lastly, government sectors were the most frequent partner identified in age-friendly action plans.Considerations and recommendations for age-friendly partner involvement for creating collaborative and holistic age-friendly partners will be included.As age demographics continue to shift, age-friendly policy initiatives at the global, national, state, and local levels are rapidly evolving.These emerging age-friendly initiatives underscore a changing perception of aging and older adulthood.Many states, communities, academic institutions, health systems, and other organizations are embracing the demographic shift and leveraging age-friendly frameworks that seek to improve later life experiences.However, there is limited scholarly work that explores contextualized age-friendly policy development.
Using qualitative case study and historiography methods, this study provides an overview of various age-friendly frameworks and outlines work in the State of Minnesota where intersections of the various frameworks are coalescing in an age-friendly ecosystem.Minnesota, rather than being a 'best practices' exemplar, serves as a model of an evolving system, led by the Age-friendly Minnesota Council in partnership with organizations such as the Minnesota Board on Aging and the Minnesota Department of Human Services, that are developing impactful policies to address the needs of a growing heterogeneous older adult population.The nuances and realities found within the Minnesota context underscore the need to develop fluid age-friendly ecosystems that can adapt to the uniqueness and complexity found in each state, region, or community.Going forward, it will be critical for Minnesota to evaluate their programs to determine their long term impact on the entire population -including today's older adults as well as future older Minnesotans.Although ample evidence shows a negative association between discrimination and well-being outcomes, yet few longitudinal studies have explored the prevalence and consequences of multiple forms of discrimination among older adults.This study investigated the effects of interpersonal and institutional discrimination on psychological well-being among Chinese older adults and whether such effects were conditioned on subjective socioeconomic status.Data were retrieved from the China Family Panel Studies, consisting of 9,356 older respondents aged 45 and older in 2010 with their follow-up observations during 2012-2016.Random-effects panel regression analyses were performed to examine the relationships between multiple forms of discrimination on psychological distress and life satisfaction, separately, as well as the moderating effects of subjective socioeconomic status.Results revealed that one in four older adults experienced at least one form of discrimination during the past 12 months.Most prevalent discriminatory experiences encompassed wealth-based discrimination, delay and stalling at government agencies, and unfair treatment by government officials.Experiences of discrimination were negatively associated with life satisfaction and positively associated with psychological distress.Subjective socioeconomic status ameliorated the negative effect of interpersonal discrimination on life satisfaction.Findings reveal the detrimental effects of discrimination on psychological well-being that both interpersonal and institutional discrimination could reduce satisfaction with life and exaggerate psychological distress.Findings imply that subjective socioeconomic status could protect older adults from harmful effects of interpersonal discrimination, but not institutional discrimination.

IMPORTANT COMMUNITY FEATURES AND SERVICES IN DIVERSE OLDER ADULTS
Kyeongmo Kim 1 , and Andy Hong 2 , 1. Virginia Commonwealth University, Richmond, Virginia, United States, 2. University of Utah, Salt Lake City, Utah, United States Many cities and towns have tried to create neighborhood environments favorable to older adults.However, it raises the question of whether community aging initiatives reflect the diverse needs of older adults.This study examined how much different types of neighborhood physical and social environments were essential to the life of diverse older adults.This study used data from the 2018 AARP Home and Community Preferences Survey with 762 adults aged 50 and older in the USA (female: 50%; White: 70%, Black: 17%, Hispanic: 12%, other race: 5%).The outcome variables were participants' rates on the relative importance of seven community features (i.e., outdoor space, housing, transportation, street, social participation, civic engagement, and job).We ran multiple regression analyses to examine the relationships between the importance rating of community features and diverse older populations.Women thought all community features were important in their daily life compared to men, except for transportation.Black and Hispanic older adults valued all seven community features more highly than White older adults.People with disabilities thought housing and civic engagement were essential daily; people who experienced loneliness thought housing, transportation, social participation, and civic engagement were important.This study adds to the growing literature on identifying the diverse needs of older adults in developing and creating age-friendly environments.Community features and services were essential to women and racial and ethnic minority adults.Depending on older adults' demographic and health-related characteristics, policymakers and practitioners should develop a plan to reflect the diverse needs of older adults.

END OF LIFE
Abstract citation ID: igad104.2363

AMERICANS AND TAIWANESE: A COMPARISON OF BELIEFS IN AND PREFERENCES FOR ADVANCE DIRECTIVES BY SOCIODEMOGRAPHICS
Yuchi Young 1 , Duan-Rung Chen 2 , Ashley Shayya 3 , Taylor Perre 4 , Virgile Barnes 5 , and Thomas O'Grady 6 , 1. University at Albany,Rensselaer,New York,United States,2. College of Public Health,Taipei City,Taipei,Taiwan (Republic of China),3. University at Albany School of Public Health,Rensselaer,New York,United States,4. Home Care Association of New York State,Albany,New York,United States,5. SUNY Albany,School of Public Health,Albany,New York,United States,6. State University of New York at Albany,Albany,New York,United States Introduction.Advance directives (ADs) are legal documents that allow individuals to express their end-of-life wishes.However, cultural differences related to collectivism and family values may impact AD beliefs and preferences.